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Biomedical subjects

E C Bouvy-Berends

Publications and source records attributed to E C Bouvy-Berends.

11 recordsLinked to original sources
PubMed2003

[Dental care for the handicapped patient].

In the last years the caries risk in the Netherlands has shifted to vulnerable groups consisting of people unable to commit themselves to independent preventive dental care. These groups, children with behaviour management problems, mentally disabled, and elderly people make a change in the perspective of preventive dental care necessary. A more individual approach is advised. The costs of the changes possibly have to be drawn from the regular dental budget.

Aged↗
PubMed1996

[Local anesthesia in dentistry. Additional techniques].

Patients with insufficient coping abilities can yet be dentally treated by practising several additional techniques. Behaviour management should always be the starting point of all dental treatment strategies. In the end the administration of well selected drugs should lead, via anxiolysis, sedation or general anaesthesia, to a painfree and optimal treatable patient.

Anesthesia, Dental↗
PubMed1992

A comparison of the effects of propofol and nitrous oxide on the electroencephalogram in epileptic patients during conscious sedation for dental procedures.

The influence of sedative doses of propofol or nitrous oxide on the electroencephalogram was studied in 11 mentally handicapped patients with treated epilepsy undergoing dental procedures. At one session, propofol was titrated to achieve conscious sedation. The mean (+/- SD) dose requirements were 5.5 +/- 1.1 mg.kg-1.h-1. In six patients, the electroencephalogram was unchanged during propofol administration. In three patients, there was a decrease in epileptic activity, and in two patients, paroxysmal discharges disappeared. At another session, nitrous oxide was administered by nasal mask. The mean (+/- SD) concentration of nitrous oxide needed was 43.6% +/- 4.8%. The electroencephalogram did not change in nine patients, whereas in two patients epileptic activity decreased. There were no clinical epileptoid or other adverse manifestations during any treatment or up to 48 h thereafter. The results of the present study suggest that propofol or nitrous oxide can be administered in subanesthetic doses for conscious sedation in mentally handicapped patients with treated epilepsy.

Adolescent↗
PubMed1991

Conscious sedation with propofol in dentistry.

Propofol by continuous intravenous infusion was used as an alternative to nitrous oxide/oxygen for conscious sedation in 19 patients undergoing out-patient dental treatment. Patients were either extremely anxious or mentally and/or physically handicapped. Propofol was administered by a syringe pump at an initial rate of 3 mg/kg/hour. During the procedure the infusion rate was adjusted to attain and maintain the desired level of conscious sedation. The mean time from starting the propofol infusion until reaching the required level of sedation was 11.5 (SD 3.5) minutes. The mean infusion rate was 3.6 (SD 0.65) mg/kg/hour. The average duration of the dental procedure was 55.9 (SD 18.8) minutes. Sedation was satisfactory in all but two patients. There were no side-effects. Recovery was rapid after stopping the infusion. It is concluded that propofol is an acceptable alternative to nitrous oxide/oxygen for conscious sedation in the dental surgery.

Adolescent↗
PubMed1991

[Treatment strategies for non-cooperative patients].

Related to some characteristics of different categories of patients who are less able to cooperate during dental treatment, several sedation methods and general anesthesia are compared with each other. Tested is to what degree these methods fulfill the quality criteria efficacy, safety and accessibility, followed by recommendations concerning their use.

Anesthesia, General↗
PubMed1990

[Conscious sedation in dentistry using Propofol].

The results of a trial with Propofol for conscious sedation in mentally and/or physically handicapped and extremely anxious dental patients is presented. A continuous intravenous infusion of Propofol was chosen as a method of administration with slow and careful titration until the appropriate level of sedation was reached. Propofol with its favourable pharmacokinetic profile proved to be an excellent agent for conscious sedation in the mentally and/or physically handicapped and extremely anxious patients. The depth of sedation is easily and rapidly controlled by the rate of the infusion. The recovery was rapid, the patients were clear headed and devoid of any early and late postoperative sequelae.

Adult↗
PubMed1990

[Anesthesiological support for special dental care].

Many mentally and/or physically handicapped and anxious dental patients do not receive adequate dental treatment because effective ways of supportive treatment are insufficiently known and/or available to dentists. The pharmacologically induced treatment methods: oral sedation, inhalation sedation, intravenous sedation and general anesthesia are discussed. Centres of Special Dental Care are strongly recommended in order to accept the challenge to search for, study and apply those treatment possibilities which are appropriate to these specific patients. Thereby the standard of dental care which could be achieved would be comparable to that for normal patients.

Anesthesia, Dental↗
PubMed1989

[Oral health perspective in children and adolescents].

Members of a panel gave their opinions on future developments affecting the prevalence for caries and gingivitis among the Dutch youth (0-34). For the younger age groups a small increase of the dmf-t count was expected by the members of the panel, which was in line with the results of a simulation model. For the oldest group the model showed a smaller decrease for the DMF-T count then the panel members forecasted.

Adolescent↗